| Tristan Albert Ertman, SAC-IT | |
|
530 State Road 67, Kiel, WI 53042-1650 | |
| (920) 894-1374 | |
| (920) 894-1373 |
| Full Name | Tristan Albert Ertman |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 530 State Road 67, Kiel, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780262840 | NPI | - | NPPES |
| 46-1566338 | Other | WI | PATHWAYS TO A BETTER LIFE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 19029-130 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tristan Albert Ertman, SAC-IT 530 State Road 67, Kiel, WI 53042-1650 Ph: (920) 894-1374 | Tristan Albert Ertman, SAC-IT 530 State Road 67, Kiel, WI 53042-1650 Ph: (920) 894-1374 |
Pamela Quezaire, MSE CSAC ICS Counselor Medicare: Not Enrolled in Medicare Practice Location: Pathways To A Better Life, Llc, 13111 Lax Chapel Road, Kiel, WI 53042 Phone: 920-894-1374 Fax: 920-894-1373 | |
Abigail Ann Miller, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13111 Lax Chapel Rd, Kiel, WI 53042 Phone: 920-286-4489 | |
Andrew James Jacobchick, BA, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 Hwy 67, Kiel, WI 53042 Phone: 920-797-4457 Fax: 920-894-1373 | |
Mrs. Brittany Jean Danes, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 13111 Lax Chapel Rd, Kiel, WI 53042 Phone: 920-286-4488 Fax: 920-894-1373 | |
Jeffrey Lee Janikowski, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13111 Lax Chapel Rd, Kiel, WI 53042 Phone: 920-797-4419 Fax: 920-894-4471 | |
Angelique Netzband-fischer, SAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 13111 Lax Chapel Rd, Kiel, WI 53042 Phone: 920-797-4614 |